Developmental skeletal anomalies

MR Imaging of Fetal Musculoskeletal Disorders

This article outlines the main findings in prenatal musculoskeletal disorders. Three main technologies are generally used to obtain images within the uterus during pregnancy: ultrasound (US), MR imaging, and computed tomography (CT). Currently, the primary imaging method used for fetal assessment during pregnancy is US because it is patient friendly, useful, cost-effective, and (considered) safe. MR imaging is generally performed when US yields equivocal results because it offers additional information about fetal abnormalities and conditions in situations in which US is unable to provide high-quality images.

The role of a novel magnetic resonance imaging sequence in the evaluation of the fetal skeleton: a pilot study

Objective

We aimed to study the role of magnetic resonance imaging (MRI), including a novel MRI sequence-the modified volumetric interpolated breath-hold examination (VIBE)-in the characterization of the fetal skeleton. This novel sequence was useful for reconstructing three-dimensional images of the skeleton.

Materials and Methods

We enrolled 22 pregnant women whose fetuses had shown congenital abnormalities on ultrasound examinations. The women underwent prenatal fetal MRI in a 1.5-T scanner with a T2-weighted modified VIBE sequence. Three-dimensional reconstructions of the fetal skeleton were performed manually on the instrument itself or via an interactive pen-tablet workstation.

Results

Three-dimensional reconstructions of the fetal skeleton were performed after the acquisition of modified VIBE MRI sequences, and it was possible to characterize the fetal skeleton in all MRI examinations.

Conclusion

A detailed evaluation of the three-dimensional reconstructions of fetal skeleton performed after acquisition of a modified VIBE MRI sequence allowed a full characterization of the skeleton. However, improvements to the proposed sequence should be addressed in future studies.

Effects of TGF-beta1 and triiodothyronine on cartilage maturation: in vitro analysis using long-term high-density micromass cultures of chick embryonic limb mesenchymal cells

Endochondral ossification is initiated by differentiation of mesenchymal cells into chondrocytes, which produce a cartilaginous matrix, proliferate, mature, and undergo hypertrophy, followed by matrix calcification, and substitution of cartilage by bone. A number of hormones and growth factors have been implicated in this process. Using in vitro, long-term, high-density, micromass cultures of chick embryonic mesenchyme, that recapitulate the process of chondrogenesis, chondrocyte maturation, and hypertrophy, we have investigated the importance of a balance between proliferation and apoptosis in cartilage maturation, focusing specifically on the effects of transforming growth factor-beta1 (TGF-beta1) and the thyroid hormone, triiodothyronine (T3). Our results showed that TGF-beta1 stimulates proliferation, by week 2 of culture, and T3 inhibits proliferation by week 3. Cell size increases in cultures treated with T3. Collagen type X is expressed in all culture, and delay in matrix deposition is seen only in the cultures treated with TGF-beta1. T3 stimulates alkaline phosphatase activity, but not calcification. T3 enhances apoptosis, as seen by TUNEL staining, and internucleosomal DNA fragmentation. The results support the roles of T3 and TGF-beta in cartilage maturation, i.e., TGF-beta stimulates proliferation and suppresses hypertrophy, while T3 stimulates hypertrophy and apoptosis.